Organization
DEACONESS HEALTHCARE SERVICES CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BERNENS (BUSINESS MANAGER PHYSICIAN SERVICES)
(513) 559-2891
Entity
Organization
Contact information
Practice address
311 STRAIGHT ST, CINCINNATI, OH 45219-1018
(513) 557-3330
(513) 557-3347
Mailing address
PO BOX 632745, CINCINNATI, OH 45263-2745
(513) 557-3330
(513) 557-3347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0281172
—
OH
05
—
200363350B
—
IN
05
—
65935637
—
KY
Enumeration date
01/09/2006
Last updated
05/12/2009
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